Orthotist and Prosthetist

The following documents should be completed when applying for initial licensure as an Orthotist, Prosthetist or dual-license in the State of Georgia:

To Apply, Click Here: https://gateway.medicalboard.georgia.gov/

• FORM A - Affidavit of Applicant
• Citizenship Affidavit
• FORM B - Reference Form
• FORM C - State Verification
• FORM D - Certification of ABC Examination
• FORM E - Work History
• CV/Resume

To apply for reinstatement of your dual license as an Orthotist & Prosthetist, please submit the following

To Apply, Click Here: https://gateway.medicalboard.georgia.gov/

• Reinstatement Application Checklist and Forms